IAD Form No.

01
Rev. 00/06-13-13

Republic of the Philippines

Professional Regulation Commission
Manila
STP Form A

APPLICATION FOR SPECIAL TEMPORARY PERMIT

INSTRUCTION: Passport size ID
This application must be accomplished by the applicant or duly authorized representative. Any false statement is subject to legal prosecution. picture of the
Applicant with
Category of STP applied for: Profession: Date of Filing COMPLETE Name
Tag in plain white
Part I Personal Data background

Surname: Given Name/s: Maternal Name:

Visa / Nature of Stay

Place of Birth Date of Birth Citizenship Gender Civil Status Date of Arrival

Home address / country of origin: Philippine Mailing Address: Period of Stay

Contact Number or E-mail address:

Name and Address of Sponsoring/Company/Institution in the Philippines: (If Applicable)

Contact Number or E-mail address:

Have you ever been accused of, indicted, tried or convicted by any court of law, military tribunal or administrative body? No No Yes Yes
If so, attach a copy of the decision or the complaint, if still pending.
Part II Professional Course Taken
Title/ Degree Received College/ University Graduated Date Degree Conferred Honors, Distinctions or
Awards Received

Part III Specialization (State briefly your fields of specialization, special studies or courses taken)

Part IV License/s Obtained (Inclusive of License Obtained in the Philippines)

Title of License Jurisdiction License/Certification Date issued / validity
Number

Part V Experience and Training

Dates of Service Position Held Employer Country or State

Part VI- Sponsoring/Company/ Institution Profile

For Private Institutions:(SEC Registration) For Government Institutions: Action taken by the Cashier
Amount: __________________
Nature of Business: OR No. __________________
Date: __________________
Authorized Representative: Signature of Cashier: ____________
Part VII- Acknowledgment
I HEREBY CERTIFY that the above information written by SUBSCRIBED AND SWORN to before me affiant exhibited to me
me are true and correct to the best of my knowledge and belief. the applicant's passport as indicated hereunder
And further authorize PRC and other government agencies to Passport Number: __________________________
investigate the authenticity of all the documents presented. Date of Issue: _________________ Place of Issue: _________________
Signature of Applicant / Authorized Representative Place and Date of Acknowledgment:

When and Where Prepared

Notary Public

P. PAREDES ST., CORNER N. REYES ST., SAMPALOC, MANILA, PHILIPPINES, 1008

P.O. BOX 2038, MANILA
 Assessment and Evaluation of Requirements for Issuance of Special Temporary Permit
(FOR PRC PERSONNEL ONLY)
A. Special Temporary Permit Unit (International Affairs Division)
Category A Foreign professionals applying for registration with or without examination under reciprocity or other
international agreement.
Category B Foreign professionals to practice a profession in the Philippines under reciprocity or other international
agreements.
Category C Foreign professionals who are to be engaged by the Government as Consultants in foreign-funded, joint
venture, or foreign assisted projects
Category D Foreign professionals who are to be employed by local and foreign private firms or institutions pursuant to
law
Category E Foreign health professionals for humanitarian mission for a limited period of time
Category F Foreign Professionals under P.D. No. 541, Allowing Former Filipino Professionals to Practice their
Respective Professions in the Philippines
General requirements applicable to all categories
1. [ ] Duly accomplished and notarized STP Application Form;
2. [ ] Photocopy of valid passport as proof of citizenship, identification of visa issued, proof of entry in the Philippines;
3. [ ] Professional liability insurance, whenever applicable and required by the professional regulatory law; and
4. [ ] Payment of prescribed fees .
Additional requirements for:
Category A
1.[ ] Duly authenticated copy of the international agreement or law of the state/country of the applicant showing that the
requirements for registration or licensing from the country of origin are substantially the same as those required and
contemplated by the laws of the Philippines, with official English translation thereof, when necessary; and
2.[ ] Duly authenticated official document issued by the appropriate government office/agency of the foreign country/state certifying
that the applicant is a registered professional therein, with official English translation thereof, when necessary.
Category B
1.[ ] Duly authenticated copy of the international agreement or law of the state/country of the applicant showing that the
requirements for registration or licensing from the country of origin are substantially the same as those required and
contemplated by the laws of the Philippines, with official English translation thereof, when necessary; and
2.[ ] Duly authenticated official document issued by the appropriate government office/agency of the foreign country/state certifying
that the applicant is a registered professional therein, with official English translation thereof, when necessary.
Category C
1.[ ] Copy of the Contract of Consultancy Services or a Memorandum of Agreement between the government agency and the foreign
professional indicating the Terms of Reference, nature of consultancy, period, scope and project details. (In case of joint venture
between two private entities, any of the parties thereto shall submit the application); and

2. [ ] Duly authenticated official document issued by the appropriate government office/agency of the foreign country/state certifying
that the applicant is a registered professional therein, with official English translation thereof, when necessary.
Category D
1.[ ] Copy of the contract of employment, consultancy agreement or service contract including project details, scope of works, nature
and duration of engagement of the foreign professional; and
2. [ ] Duly authenticated official document issued by the appropriate government office/agency of the foreign country/state certifying
the applicant is a registered professional therein, with official English translation thereof, when necessary.
Category E
1.[ ] Letter request addressed to PRC/PRB for the issuance of Special Temporary Permit to the foreign professional for the conduct of
humanitarian mission, with the undertaking that no fees will be charged. The letter must indicate the venue and the specific date
of the humanitarian mission; and
2. [ ] Duly authenticated copy of the valid professional license/s issued in the country of origin, with official English translation
thereof, when necessary.
Category F
1.[ ] Passport showing name, picture, citizenship and date of entry in the Philippines which must be within six (6) months before the
filing of the application for renewal;
2.[ ] The original and photocopy of the previously issued Professional Identification Card;
3. [ ] Duly authenticated original and photocopy of valid License/Certificate of Registration/Permit in the adopted country, with official
English translation thereof, as applicable; and
4. [ ] Four (4) Passport size ID pictures.

Processed by: ______________________________ Verified by: _____________________________ Date: _________________

(Signature over printed name) (Signature over printed name)

B. ACTION TAKEN BY THE PROFESSIONAL REGULATORY BOARD OF/FOR ________________________

Board Resolution STP Certificate STP ID

No. ______________ Reg. No. _______________ ID No. ________________
Expiration Date: _______________

Approved Disapproved Remarks: __________________________________________

__________________________________________
_______________________________________________
_________________________________ _______________________________________
Chairman Vice Chairman
Date: ________________